Title Page

  • Document No.

  • Building Name

  • Building Prefix

  • Building Address

  • Type of building

  • Site photograph

  • Conducted on

  • Prepared by

  • Location

Water Hygiene

  • Is there a water Hygiene log book onsite

  • Is a copy of the Water Hygiene Risk Assessment available

  • Have all remedial actions identified in the WHRA been completed

  • Has the flushing of infrequently used outlets been recorded (SS4B2)

  • Have outlet water temperatures been recorded in the logbook (SS4B2)

  • Are shower clean and disenfect records in the log book

  • Are cold water storage tank inspection records in the log book

Fire Safety

  • Is there a Fire Safety Log book available

  • Is a Fire Risk Assessment for the site available and in the log book

  • Are the remedial actions identified in the FRA closed and evidence available

  • Has an annual FRA been completed (SS4B2)

  • Are fire alarm service records available and up to date

  • Are the fire extinguishers serviced (check atleast 2 onsite)

  • Are fire drills being completed and recorded in the fire log book (SS4B2)

  • Are any panic alarms being tested and recorded (SS4B2)

  • Is bomb alert testing being completed and recorded

Electrical

  • Is there an Emergency Lighting Log book available

  • Are monthly emergency light checks being completed and recorded in the log book

  • Have remedial works been identified, recorded and completed

  • Has an annual discharge test been completed and certificate available

  • Has electrical lightning conductor testing been completed and records available

  • Has portable appliance testing been completed (SS4B2)

  • Has the fixed wiring test (5 yearly) been completed

  • Have remedial actions identified on the 5 yearly FWT been completed

Lifts

  • Are lift inspections up to date (3 month / 6 month / annual) are records available

F Gas

  • Is there an F Gas log book available

  • Are air con service records available and up to date

Fabric and Other

  • Is there an Asbestos Risk Assessment available onsite

  • Have all remedial actions identified on the Asbestos Risk Assessment been completed

  • Has an annual Asbestos Review been completed (SS4B2)

  • Are site risk assessments: Parts 1, 2 & 3 available (SS4B2)

  • Are statutory notice boards (evacuation and fire signage) correct (SS4B2)

  • Is the relevant building Energy Certificate displayed (buildings over 500m2)

  • Is there a nominated first aider onsite (SS4B2)

  • Are there Fire Wardens in place (SS4B2)

Audit Completed

  • Auditor

  • Site Responsible Person

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.